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ELEESA BLAKE MA, LMHC
NPI 1114367943
Counselor - Mental Health in Tacoma, WA

Active since June 25, 2013PECOS EnrolledAccepts Medicare Assignment
950 BROADWAY STE 404, TACOMA, WA 98402(425) 310-2508 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2025, Oct 13, 2021 (2 updates tracked since 2021).

About Eleesa Blake Ma, Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELEESA BLAKE MA, LMHC (NPI 1114367943) is an individual mental health provider in Tacoma, Washington, licensed in Washington (LH61173069) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1114367943
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameELEESA BLAKECredential: MA, LMHC
Location Address950 BROADWAY STE 404Tacoma, WA 98402-4454
Mailing Address950 Broadway Ste 404Tacoma, WA 98402-4454 · (425) 310-2508
Phone(425) 310-2508
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJune 25, 2013
Last NPPES UpdateMarch 11, 20252 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
✔ NPI 1114367943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · LH61173069
950 BROADWAY STE 404, Tacoma, WA 98402
Open in Google Maps ↗

Other Names 1

Former Name (1)Eleesa Fluckiger

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eleesa Blake Ma, Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789128562
PECOS Enrollment IDI20240703003029
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. GILBERT JEROME ROMERO-MEWHARTER LMHC
Counselor (Mental Health)
950 BROADWAY STE 404
TACOMA, WA 98402
Pierce County (253) 433-0925
KEN TOMAS ROSE
Social Worker (Clinical)
950 BROADWAY STE 404
TACOMA, WA 98402
Pierce County (206) 774-8557
ANDY SONG BCBA
Counselor (Mental Health)
950 BROADWAY STE 404
TACOMA, WA 98402
Pierce County (253) 970-3771
JOAN ILI PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
950 BROADWAY STE 404
TACOMA, WA 98402
Pierce County (425) 640-7009
MRS. LORI WILLIAMS GARDINER NP
Nurse Practitioner (Psychiatric/Mental Health)
950 BROADWAY STE 404
TACOMA, WA 98402
Pierce County (985) 323-6420
BROOKE GARCIA LSWAIC
Social Worker (Clinical)
950 BROADWAY STE 404
TACOMA, WA 98402
Pierce County (253) 792-1032
ZAYDOC MELCHELZIDEC MORGAN LSWAIC
Social Worker (Clinical)
950 BROADWAY STE 404
TACOMA, WA 98402
Pierce County (425) 640-7009
LAURIE FERRELL MA, LMHCA
Counselor (Mental Health)
950 BROADWAY STE 404
TACOMA, WA 98402
Pierce County (425) 922-4345

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eleesa Blake's NPI number?

The NPI number for Eleesa Blake is 1114367943. It was assigned to this individual provider in the NPPES registry on June 25, 2013. The provider is also known as Eleesa Fluckiger.

Where is Eleesa Blake located?

Eleesa Blake practices at 950 Broadway Ste 404, Tacoma, WA 98402. The listed phone number is (425) 310-2508.

What is Eleesa Blake's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Eleesa Blake enrolled in Medicare?

Yes. Eleesa Blake is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Eleesa Blake accept?

Health plans from Kaiser Permanente and Premera Blue Cross Blue Shield of Alaska list Eleesa Blake as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eleesa Blake was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.